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Contributions

Early exercise testing following percutaneous transluminal coronary angioplasty

Donna H. Korzick, MS, Donald A. Underwood, MD and Conrad C. Simpfendorfer, MD
Cleveland Clinic Journal of Medicine January 1990, 57 (1) 53-56;
Donna H. Korzick
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Donald A. Underwood
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Conrad C. Simpfendorfer
Department of Cardiology, The Cleveland Clinic Foundation.
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ABSTRACT

The value of early symptom-limited stress electrocardiography following percutaneous transluminal coronary angioplasty in assessing late outcome was evaluated in 218 patients. All subjects were tested using the Bruce or Sheffield Protocols, 2.5 ± 1.3 days after percutaneous transluminal coronary angioplasty. Repeat coronary angiography was performed after percutaneous transluminal coronary angioplasty because of symptoms (58%) or as routine follow-up (42%). Stress electrocardiography results were compared to coronary angiography. The sensitivity and specificity were 35.3% and 52.6%, respectively. The positive and negative predictive values were 39.6 % and 48.0%. Two acute myocardial infarctions and one coronary angiographic-proven restenosis occurred within hours of the stress electrocardiogram in three patients (1.4%). It is concluded that symptom-limited stress testing immediately following percutaneous transluminal coronary angioplasty has no prognostic value and may carry increased risk for immediate negative coronary events.

INDEX TERMS
  • Angioplasty
  • Exercise Test
  • Copyright © 1990 The Cleveland Clinic Foundation. All Rights Reserved.
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Cleveland Clinic Journal of Medicine: 57 (1)
Cleveland Clinic Journal of Medicine
Vol. 57, Issue 1
1 Jan 1990
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Early exercise testing following percutaneous transluminal coronary angioplasty
Donna H. Korzick, Donald A. Underwood, Conrad C. Simpfendorfer
Cleveland Clinic Journal of Medicine Jan 1990, 57 (1) 53-56;

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Early exercise testing following percutaneous transluminal coronary angioplasty
Donna H. Korzick, Donald A. Underwood, Conrad C. Simpfendorfer
Cleveland Clinic Journal of Medicine Jan 1990, 57 (1) 53-56;
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